Cited by 140ECG Monitoring and AnalysisCardiac electrophysiology and arrhythmiasCardiac pacing and defibrillation studies

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The Evolving Role of Ambulatory Arrhythmia Monitoring in General Clinical Practice

Zimetbaum, Peter J., Josephson, Mark E.·1999·Annals of Internal Medicine

DOI 10.7326/0003-4819-130-10-199905180-00020

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Abstract

PURPOSE: To evaluate the efficacy of various ambulatory electrocardiographic monitors for the diagnosis of arrhythmia-related disorders and to provide recommendations for their use in clinical practice. DATA SOURCES: Studies published since 1988 were identified through search of the MEDLINE database. STUDY SELECTION: Studies that met methodologic criteria for minimal bias and had clinical relevance were selected. DATA EXTRACTION: Descriptive and analytic data from each study. DATA SYNTHESIS: Ambulatory electrocardiographic monitors, specifically transtelephonic continuous-loop event recorders, are highly effective for establishing a diagnosis in patients with palpitations but are less effective for establishing a diagnosis in patients with syncope. Clinicians may use these devices to monitor for nonsustained ventricular tachycardia in patients at potentially high risk for sudden arrhythmic death; however, few data are available to support this practice. Ambulatory monitors are useful for assessment of the safety and efficacy of antiarrhythmic medications and the recurrence of symptomatic supraventricular arrhythmias. New ambulatory arrhythmia monitoring devices are being developed that may facilitate outpatient management of chronic cardiac disease. CONCLUSIONS: Ambulatory electrocardiographic monitors, particularly transtelephonic continuous-loop event recorders, aid in the diagnosis of symptomatic arrhythmias. These devices are also useful for monitoring the effectiveness and safety of antiarrhythmic medications. Guidelines are lacking for use of these devices to assess prognosis in patients at potential risk for sudden arrhythmic death.

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Authors: Zimetbaum, P. J., & Josephson, M. E.
Affiliations: Beth Israel Deaconess Medical Center (US)
Corresponding author: Zimetbaum, Peter J.
ORCID: Zimetbaum, Peter J.
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 1999-05-18
Volume: 130
Issue: 10
Pages: 848-856
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-130-10-199905180-00020
OpenAlex: W2066069714
Cited by: 139
References: 65
Citations by year: 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 7 · 2015: 1 · 2014: 2 · 2013: 7 · 2012: 8
FWCI: 0.68
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords: Holter monitoring, arrhythmia diagnosis, palpitations, syncope, non-sustained ventricular tachycardia, sudden arrhythmic death, supraventricular arrhythmias, general practice
MeSH terms: Algorithms, Anti-Arrhythmia Agents, Arrhythmias, Cardiac, Heart Diseases, Humans, Risk Factors, Syncope, Medical Laboratory Science, Electrocardiography, Ambulatory

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The Evolving Role of Ambulatory Arrhythmia Monitoring in General Clinical Practice

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